Individual provider Active NPI

Elizabeth T Dolan, M.D.

  • Specialist
  • Dallas, TX
National Provider Identifier
1881632602
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G4992 Issued in TX
Practice address
10611 Garland Rd
#210
Dallas, TX 75218-2666
Phone
(214) 324-2881
Fax
(214) 328-4084
NPI assigned
Jun 3, 2006
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G4992 TX Primary

Addresses

Primary practice location

10611 Garland Rd
#210
Dallas, TX 75218-2666

Mailing address

10611 Garland Rd
#210
Dallas, TX 75218-2666
Phone (214) 324-2881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000237 TX Practitioner - Dermatology 9234185216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christy C Riddle MD PLLCGroup PAC ID 4284162124, 2 clinicians

Practice addresses (Care Compare)

10611 Garland Rd
Suite 110
Dallas, TX 75218-2683
Phone (214) 324-2881

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
76.11
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions728
Skin biopsy306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christy C. Riddle, MD PLLC CurrentSince Feb 1, 2025 Accepting new patients
Elizabeth T Dolan, MD PA CurrentSince Jan 1, 2007 Accepting new patients

Locations

10611 Garland Rd
Ste 210
Dallas, TX 75218
Phone (214) 324-2881

10611 Garland Rd
Ste 113
Dallas, TX 75218
Phone (214) 321-2488

10611 Garland Rd
Ste 110
Dallas, TX 75218
Phone (214) 324-2881

9330 Poppy Dr
Ste 503
Dallas, TX 75218
Phone (214) 321-3394

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1881632602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD",
            "address_2": "#210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182666",
            "telephone_number": "214-324-2881",
            "fax_number": "214-328-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD",
            "address_2": "#210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182666",
            "telephone_number": "214-324-2881",
            "fax_number": "214-328-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G4992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.